SANDRA WYNN WYNDHAM
NPI 1356742787
Social Worker - Clinical in Louisville, KY

Active since September 04, 2014PECOS Enrolled
2105 CRUMS LN, LOUISVILLE, KY 40216(502) 589-8950(502) 449-3690 Get Directions Write a Review

NPPES record last updated: September 4, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Sandra Wynn Wyndham NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SANDRA WYNN WYNDHAM (NPI 1356742787) is an individual clinical provider in Louisville, Kentucky, licensed in Kentucky (KY 1967) and active in the NPI registry since September 2014. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1356742787
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameSANDRA WYNN WYNDHAM
Location Address2105 CRUMS LNLouisville, KY 40216-4231
Mailing Address2105 Crums LnLouisville, KY 40216-4231 · (502) 589-8950 · Fax (502) 449-3690
Fax(502) 449-3690
Sole ProprietorYes
Enumeration DateSeptember 4, 2014
NPI 1356742787 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in KY · KY 1967
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
2105 CRUMS LN, Louisville, KY 40216

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Sandra Wynn Wyndham is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40216 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $52.76 – $162.27
Typical copayment $0.00 (range $13.19 – $40.56)
Most-billed visit code NA
Established Patient
$66.24 typical visit price
range $16.53 – $131.99
Typical copayment $16.56 (range $4.13 – $32.99)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Registered Nurse (Psychiatric/Mental Health)
2105 CRUMS LN
LOUISVILLE, KY 40216
Social Worker (Clinical)
2105 CRUMS LN
LOUISVILLE, KY 40216
Case Manager/Care Coordinator
2105 CRUMS LN
LOUISVILLE, KY 40216
Case Manager/Care Coordinator
2105 CRUMS LN
LOUISVILLE, KY 40216
Social Worker (Clinical)
2105 CRUMS LN, SUITE 8
LOUISVILLE, KY 40216
Case Manager/Care Coordinator
2105 CRUMS LN
LOUISVILLE, KY 40216
Social Worker
2105 CRUMS LN
LOUISVILLE, KY 40216
Case Manager/Care Coordinator
2105 CRUMS LN
LOUISVILLE, KY 40216

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sandra Wyndham's NPI number?

The NPI number for Sandra Wyndham is 1356742787. It was assigned to this individual provider in the NPPES registry on September 4, 2014.

Where is Sandra Wyndham located?

Sandra Wyndham practices at 2105 Crums Ln, Louisville, KY 40216. The listed phone number is (502) 589-8950.

What is Sandra Wyndham's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Sandra Wyndham enrolled in Medicare?

Yes. Sandra Wyndham is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Sandra Wyndham was last updated on September 4, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.